Mary Joyce McGinnis, M.D.

Individual provider Active NPI Obstetrics & Gynecology Physician · Albany, NY

NPI 1962425561 · NPPES record last updated Nov 14, 2014

Key facts

NPI
1962425561
Entity type
Individual (NPI type 1)
Primary specialty
Obstetrics & Gynecology Physician 207V00000X
License
0166819 (NY)
Practice address
24 Computer Dr W
Albany, NY 12205-1612
Phone
(518) 689-7548
Fax
(518) 489-9431
NPI assigned
Jul 25, 2006
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Obstetrics/Gynecology
Education
Emory University School of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McGinnis Womens Medical Care, PC (2 clinicians)

Practice addresses (Care Compare)

1873 Western Ave
Suite 101
Albany, NY 12203-5028
Phone (518) 689-7548

Hospital & facility affiliations

  • Ellis Hospital Hospital · Schenectady, NY · CCN 330153
  • St Peter'S Hospital Hospital · Albany, NY · CCN 330057
  • Samaritan Hospital of Troy, New York Hospital · Troy, NY · CCN 330180
  • St Marys Healthcare Hospital · Amsterdam, NY · CCN 330047

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20050601000149 NY Practitioner - Obstetrics/Gynecology 7214979210 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0166819NYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McGinnis Womens Medical Care, PC Obstetrics & Gynecology Current
since Mar 11, 2002
Accepting new patients

Locations

24 Computer Dr W
Ste 103
Albany, NY 12205
Phone (518) 689-7548

1873 Western Ave
Ste 101
Albany, NY 12203
Phone (518) 371-4800

107 Everett Rd
#A
Albany, NY 12205
Phone (518) 808-4924

24 Computer Dr W
Colonie, NY 12205
Phone (518) 489-9434

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 0166819 NY Yes

Addresses

Primary practice location

24 Computer Dr W
Albany, NY 12205-1612

Mailing address

24 Computer Dr W
Albany, NY 12205-1612
Phone (518) 689-7548

Other identifiers

IdentifierTypeStateIssuer
01340427MedicaidNY

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 14, 2014.

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415923200000",
    "number": "1962425561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 COMPUTER DR W",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122051612",
            "telephone_number": "518-689-7548",
            "fax_number": "518-489-9431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 COMPUTER DR W",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122051612",
            "telephone_number": "518-689-7548",
            "fax_number": "518-489-9431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGINNIS",
        "first_name": "MARY JOYCE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2014-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "0166819",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01340427",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

All providers in Albany, NY · Obstetrics & Gynecology Physician in New York

Sources for this page

Verify at the official NPI Registry.